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Adults in this part of the country sleep better than anyone else, according to Hone Health data

Ask someone where they expect to find the most health-conscious Americans, and they’ll usually name somewhere sunny and laid back, like California, Hawai'i, or a mountain town where people hike before breakfast. They probably won’t say New Jersey.

But when it comes to sleep, one of the most powerful but overlooked predictors of , residents of the Middle Atlantic (New York, New Jersey, Pennsylvania, Delaware, Maryland, and Washington, D.C.) are quietly outperforming the rest of the country. That’s according to a nationwide study of 1,000 adults ages 35 to 65 by , a telehealth platform focused on longevity and preventative health.

Why Quality Sleep Matters

suggests that consistent, high-quality sleep () may be a than even diet and exercise. show that irregular sleep can raise your mortality risk by up to 29%, while getting it right could add two to five years to your life.

“ is the foundation of every other healthy habit,” says Dr. Candice Knight, a longevity physician. “When you're unrested, you to work out, , or that support . Sleep is also when the body does the majority of its repair work. If we consistently miss , we accumulate more , , and over time, which .”

Best vs. Worst Sleepers by US Region

According to the survey, adults in the mid-Atlantic and Pacific are far more likely to actively prioritize sleep than those in New England and the Mountain states — and that gap tracks with broader health behaviors such as getting , , and .

Best: Middle Atlantic

Nearly 79% of Middle Atlantic respondents actively take most nights. That’s roughly 20 points higher than the national average and nearly 12 points higher than the country’s next best sleepers — the Pacific region (California, Oregon, Washington, Alaska, and Hawai'i), at 67.5%.

Worst: New England

The people prioritizing sleep the least, according to the survey data, are just next door in New England (Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont), where fewer than half of adults — just 48% — say they actively prioritize sleep. The Mountain region (Arizona, Colorado, Idaho, Montana, Nevada, New Mexico, Utah, and Wyoming) isn’t far ahead at 52%, placing both at the bottom of the national rankings for sleep.

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Mindset May Drive Sleep Habits

The regions that are sleeping better also tend to be the ones where people feel more in control of their health and more , notes Knight. In the survey, about 57% of mid-Atlantic respondents say their best years are still ahead, compared to roughly 30% in New England and 28% in the Mountain region.

“When you begin to see your , sleep stops feeling optional,” Knight says. “It becomes part of your identity and a non-negotiable part of how you care for yourself, rather than something you keep pushing off until later.”

The Intention Gap

The regions struggling most with sleep are also the ones saying they’ll get to it later.

In New England, 41% of respondents say they don’t currently sleep well but plan to improve in the future — the highest “intention gap” in the country. The Mountain region follows closely at 40%.

“Sleep tends to be the last health habit people prioritize because it doesn't feel like an active behavior,” Knight says, “unlike or .”

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What Good Sleepers Have In Common

Adults in the mid-Atlantic states aren’t just getting more rest — they also rank at or near the top of nearly every healthy habit the survey tracked, showing that sleep isn’t a standalone win, but part of a broader pattern of .

“For people in the Middle Atlantic, sleep is the anchor of a healthy lifestyle,” Knight says. “And as the science keeps making clearer, prioritizing sleep might be one of the most important things any of us can do to live better and longer.”

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Hone Health

Results come from a January 2026 online survey of 1,000 adults aged 35–65. The survey explored attitudes about aging, health behaviors, identity, and language preferences related to this life stage. : 35–39 (23%), 40–44 (24%), 45–49 (22%), 50–54 (14%), 55–59 (10%), 60–65 (7%). Gender: 48% male, 52% female. Geographic coverage: All major U.S. regions represented. Household income: Broad distribution from under $10,000 and up.

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